优秀的患者-提供者沟通可能会减轻癌症幸存者糖尿病护理管理中的种族和种族差异
Miriam L Gorbatov1, Claudia Rodriguez2, Sarah D Gorbatov3
1Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, B1845 N. Soto St., Suite 318, Los Angeles, CA , 90032, USA.
Journal of racial and ethnic health disparities
|November 14, 2025
概括
优秀的患者-提供者沟通 (PPC) 改善了西班牙裔和亚洲癌症幸存者的糖尿病护理. 然而,它与非西班牙裔黑人幸存者糖尿病管理的恶化有关,这表明存在系统性问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 患有糖尿病的癌症幸存者需要高质量的护理来预防并发症.
- 在糖尿病护理中存在种族和民族差异,这可能会影响疾病管理.
- 这项研究调查了癌症幸存者糖尿病管理中的差异以及患者提供者沟通 (PPC) 的作用.
研究的目的:
- 检查癌症幸存者糖尿病管理中的种族和种族差异.
- 评估患者提供者沟通 (PPC) 质量对糖尿病护理遵守的影响.
- 确定PPC如何影响不同种族和种族群体的指导方针一致的糖尿病护理.
主要方法:
- 对医疗支出小组调查数据 (2008-2021) 的回顾性横截面分析.
- 研究人口:糖尿病癌症幸存者报告PPC质量和糖尿病护理利用率.
- 结果:遵守糖尿病指南 (≥2 HbA1c测试,每年脚/眼部检查) 基于优秀与不太优秀的PPC.
主要成果:
- 优秀的PPC与西班牙裔和亚洲裔幸存者的指导方针坚持护理的几率更高有关.
- 具体来说,PPC优秀的西班牙裔幸存者对HbA1c测试,脚和眼睛检查的几率增加了.
- 亚洲幸存者有很好的PPC显示HbA1c测试和足部检查的几率更高.
- 非西班牙裔黑人幸存者具有出色的PPC,接受所有三种糖尿病查的几率较低.
- 非西班牙裔白人幸存者对足部和眼部检查的几率略高,具有很好的PPC.
结论:
- 优秀的PPC对癌症幸存者的糖尿病管理的影响因种族和种族而异.
- 优秀的PPC提高了西班牙裔和亚洲裔幸存者的糖尿病查遵守率.
- 相反,优秀的PPC与非西班牙裔黑人幸存者的糖尿病管理结果较差有关.
- 系统性因素可能有助于观察到优秀的PPC与黑人癌症幸存者糖尿病护理之间的反向关联.
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